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Development and validation of the Chinese Health Literacy Scale for Chronic Care.

Leung AY, Cheung MK, Lou VW, Chan FH, Ho CK, Do TL, Chan SS, Chi I - J Health Commun (2013)

Bottom Line: The CHLCC showed a significant positive correlation with Chinese literacy levels (r = 0.80; p < .001) but was negatively correlated with age (r =-0.31; p <.001).The CHLCC also displayed good internal reliability (Cronbach'sα =0.91) and good test-retest reliability (intraclass correlation coefficient = 0.77; p <.01).The scale could be used by practitioners before implementing health promotion and education.

View Article: PubMed Central - PubMed

Affiliation: a School of Nursing, Li Ka Shing Faculty of Medicine , The University of Hong Kong , Hong Kong SAR , China.

ABSTRACT
This study aims to develop and test the psychometric properties of the Chinese Health Literacy Scale for Chronic Care (CHLCC). This is a methodological study with a sample of 262 patients 65 years of age and older who had chronic illnesses. Pearson's correlation, independent sample t tests, and analyses of variance were used. The CHLCC showed a significant positive correlation with Chinese literacy levels (r = 0.80; p < .001) but was negatively correlated with age (r =-0.31; p <.001). Respondents who were male (t =4.34; p <.001) and who had reached Grade 12 or higher in school (F = 51.80; p <.001) had higher CHLCC scores than did their counterparts. Individuals with high levels of health literacy had fewer hospitalizations than did their counterparts (β =-0.31; incidence rate ratio = 0.73; p <.05). The CHLCC also displayed good internal reliability (Cronbach'sα =0.91) and good test-retest reliability (intraclass correlation coefficient = 0.77; p <.01). The CHLCC is a valid and reliable measure for assessing health literacy among Chinese patients with chronic illness. The scale could be used by practitioners before implementing health promotion and education.

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Related in: MedlinePlus

Results of bifactor confirmatory factory analysis of the Chinese Health Literacy Scale for Chronic Care (CHLCC). RM = remembering; UN = understanding; AP = applying; AN = analyzing.
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Figure 2: Results of bifactor confirmatory factory analysis of the Chinese Health Literacy Scale for Chronic Care (CHLCC). RM = remembering; UN = understanding; AP = applying; AN = analyzing.

Mentions: Figure 2 shows the results of the bifactor confirmatory factor analysis of the CHLCC. The posterior predictive checking result showed that the 95% confidence intervals of the chi-square ranged from −21.55 to 128.55 and that the posterior predictive p was equal to .08. This indicated a good fit with the proposed model (Muthén & Asparouhov, 2012).


Development and validation of the Chinese Health Literacy Scale for Chronic Care.

Leung AY, Cheung MK, Lou VW, Chan FH, Ho CK, Do TL, Chan SS, Chi I - J Health Commun (2013)

Results of bifactor confirmatory factory analysis of the Chinese Health Literacy Scale for Chronic Care (CHLCC). RM = remembering; UN = understanding; AP = applying; AN = analyzing.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3815113&req=5

Figure 2: Results of bifactor confirmatory factory analysis of the Chinese Health Literacy Scale for Chronic Care (CHLCC). RM = remembering; UN = understanding; AP = applying; AN = analyzing.
Mentions: Figure 2 shows the results of the bifactor confirmatory factor analysis of the CHLCC. The posterior predictive checking result showed that the 95% confidence intervals of the chi-square ranged from −21.55 to 128.55 and that the posterior predictive p was equal to .08. This indicated a good fit with the proposed model (Muthén & Asparouhov, 2012).

Bottom Line: The CHLCC showed a significant positive correlation with Chinese literacy levels (r = 0.80; p < .001) but was negatively correlated with age (r =-0.31; p <.001).The CHLCC also displayed good internal reliability (Cronbach'sα =0.91) and good test-retest reliability (intraclass correlation coefficient = 0.77; p <.01).The scale could be used by practitioners before implementing health promotion and education.

View Article: PubMed Central - PubMed

Affiliation: a School of Nursing, Li Ka Shing Faculty of Medicine , The University of Hong Kong , Hong Kong SAR , China.

ABSTRACT
This study aims to develop and test the psychometric properties of the Chinese Health Literacy Scale for Chronic Care (CHLCC). This is a methodological study with a sample of 262 patients 65 years of age and older who had chronic illnesses. Pearson's correlation, independent sample t tests, and analyses of variance were used. The CHLCC showed a significant positive correlation with Chinese literacy levels (r = 0.80; p < .001) but was negatively correlated with age (r =-0.31; p <.001). Respondents who were male (t =4.34; p <.001) and who had reached Grade 12 or higher in school (F = 51.80; p <.001) had higher CHLCC scores than did their counterparts. Individuals with high levels of health literacy had fewer hospitalizations than did their counterparts (β =-0.31; incidence rate ratio = 0.73; p <.05). The CHLCC also displayed good internal reliability (Cronbach'sα =0.91) and good test-retest reliability (intraclass correlation coefficient = 0.77; p <.01). The CHLCC is a valid and reliable measure for assessing health literacy among Chinese patients with chronic illness. The scale could be used by practitioners before implementing health promotion and education.

Show MeSH
Related in: MedlinePlus